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Skills

  • Time management
  • Team building
  • Strategic decision making
  • Workflow Optimization
  • Problem resolution
  • First Aid/CPR
  • Damage itemization
  • Effective communication
  • Emergency Response
  • Data-Driven Fraud Detection

Work Experiences

  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Closed critical knowledge gaps.
  • Assisted in the development of a centralized claims dashboard.
  • Achieved a 15% faster resolution time for litigation-involved cases.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Achieved 25% faster processing times.
  • Achieved a 69% customer satisfaction rate.
  • Transported Jira to 6 months customer locations.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Completed resolution within 17 months.

Summaries

  • Achieved results across a span of 6 months.
  • Continuous improvement specialist.
  • Trying to get a similar job with a growing insurance company.
  • Adept at handling high-stakes claims portfolios and reducing backlogged claims by 18% across a span of several months. Recognized for efficiency and analytical prowess.
  • Collaborative leader with experience in cross-functional team integration.
  • Drove process improvements.
  • Clear understanding of workflow optimization and performance reporting as well as strategic planning training.
  • Adept at handling high-stakes claims portfolios.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Dedicated to reducing bottlenecks in claims procedures, resulting in a 33% improvement in processing time and a significant reduction in operational costs.

Accomplishments

  • Achieved 64% increase in claims approval accuracy through the introduction of automated validation processes.
  • Established a proactive claims communication system, increasing positive feedback from stakeholders by 48%.
  • Led a review and update of claims best practices, achieving a 64% improvement in processing efficiency within the department.
  • Monitored and analyzed claim trends, presenting actionable insights that contributed to a 2 improvement in operational efficiency.
  • Recommended and integrated Adobe Creative Suite for use in fraud detection, which identified and prevented over 8 in fraudulent claims.
  • Instrumental in recovering over $18 in fraudulent claims by leveraging advanced fraud detection methodologies.
  • Developed and implemented a claims auditing procedure that reduced discrepancies by 79% and improved financial accuracy.
  • Improved turnaround times on claims approvals by 60% with the implementation of automated workflow tools.
  • Worked closely with the legal department to streamline litigation-related claims documentation, reducing processing times by 4 days.
  • Designed and launched a digital claims processing workflow, which reduced manual inputs by 80% and decreased errors.

Affiliations

  • Certification in Automated Claims Processing Technologies (2017)
  • Society of Women Engineers
  • Lions Club
  • Affiliated with the Chartered Institute of Loss Adjusters (CILA)
  • Certified in Claims Adjusting Procedures by metric
  • Association for Supply Chain Management (APICS)
  • Completed advanced coursework with the Casualty Actuarial Society (CAS)
  • American Marketing Association
  • Affiliated with the Institute of Risk Standards (IRS) for systemic claims oversight
  • Regular attendee of the Insurance Data and Fraud Conference (2022)

Certifications

  • Certified Fraud Examiner (CFE)
  • Salesforce
  • ServSafe
  • Certified Professional Public Adjuster (CPPA)
  • Senior Professional in Insurance Regulatory Compliance (SPIRC)
  • XL Insurance Claims Risk Manager Certification
  • National Association of Subrogation Professionals (NASP) - Claims Recovery Certification
  • Professional Risk Management Certification (PRMP)
  • Advanced Claims Fraud Investigation Certification
  • Associate in Claims (AIC) Certification

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